Provider Demographics
NPI:1164592622
Name:BENKO, WILLIAM STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEVEN
Last Name:BENKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3160 FOLSOM BLVD STE 2100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5266
Mailing Address - Country:US
Mailing Address - Phone:916-734-3588
Mailing Address - Fax:916-451-2012
Practice Address - Street 1:3160 FOLSOM BLVD STE 2100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5266
Practice Address - Country:US
Practice Address - Phone:916-734-3588
Practice Address - Fax:916-451-2014
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4329882084N0400X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD913926OtherCAREFIRST MD BCBS
PA20069322OtherAMERIHEALTH MERCY-WMG
PA113211OtherGEISINGER
PA1995963OtherHIGHMARK BLUE SHIELD-WMG
PA102034332Medicaid
PA50073357OtherCAPITAL BLUE CROSS-WMG
PA212357OtherJOHNS HOPKINS
PA228456OtherUNISON-WMG
PA7686851OtherAETNA
PA1995963OtherHIGHMARK BLUE SHIELD-WMG
MD913926OtherCAREFIRST MD BCBS